본 연구의 목적은 평발을 가진 여성 노인의 계단 하강 보행 시 일반인솔 및 아치 지지형 인솔을 적용에 따른 족저압력 및 압력중심점 변인들의 차이를 조사하는데 목적이 있다. 족저압력 분석장비(Pedar-X, Novel, Germany)를 사용하여 14명의 평발 노인을 대상으로 3종류(일반인솔, A형 인솔, B형 인솔)의 인솔착용 후 최대족저압력, 평균족저압력, 접촉면적, 압력중심점의 이동거리, 변위 및 최대범위의 평균값을 산출하였으며, 일원변량분석(one-way ANOVA)를 이용하여 인솔 종류간 평균을 비교하였다. 족저압력 변인 중 최대족저압력은 중족부의 M3, 평균족저압력은 M2, M3, M4 영역에서, 접촉면적은 M2, M3, 그리고 M6 영역에서 통계적으로 유의한 차이를 보였으며, 압력중심점 변인 중 전후축과 좌우축에서 압력중심점의 이동거리에서 통계적으로 유의한 차이를 보였다. 족저압력 평가결과 아치 지지 기능을 가진 인솔을 삽입한 A와 B형 인솔에서 족궁지지 영역인 M3의 최대압력은 B형 인솔과 A형 인솔이 일반인솔과 비교했을 때 높게 나타났다. 좌우축, 전후축 압력중심점의 이동거리는 A형과 B형 인솔 모두 일반 인솔에 비해 짧게 나타났다.

본 연구의 목적은 충격흡수 및 통기기능 인솔을 적용한 개발 전투화의 족저압력 및 온도변화를 연구하는데 있다. 남성 피험자 11명(age: 21.8±2.2 yrs, height: 174.3±3.6 cm, weight: 71.6±8.6 kg, foot length: 261.0±1.0 mm)을 대상으로 총 3종류 전투화의 족저압력 및 온도 변화를 비교하였다: 전투화 A(보급형 일반 전투화), 전투화 B(통기구가 적용된 개발 전투화), 전투화 C(전투화 B에 통기기능 및 충 격흡수용 인솔 적용). 족저압력 측정을 위해 Pedar-X를 사용하였고, 전투화의 내부온도는 휴대용 써미스터의 온도센서를 사용하였다. 전투화의 종류별 족저압력 및 온도 변화결과를 비교하기 위해 일원변량분석 (one-way ANOVA)을 실시한 결과, 첫째, 족저압력 변인에서, 기능성 인솔을 적용한 전투화 C가 전투화 A보다 오른발/왼발 후족부의 최대족저압력에서 통계적으로 유의하게 낮았으며, 전투화 C가 전투화 B보다 왼발 후족부의 평균족저압력에서 통계적으로 유의하게 낮은 압력을 나타내었다. 둘째, 내부온도에서 보행 시작 후 40분경과 시점부터 개발 전투화인 B, C가 일반 전투화인 A보다 낮은 내부 온도를 보였다.

The purpose of this study was to investigate how COP displacement of a hemiplegic foot in stance phase during gait is related to clinical balance measures and the recovery stage in hemiplegic stroke patients. Twenty-eight functionally ambulant hemiplegic patients who had suffered from strokes and thirty age-matched healthy subjects participated in this study. COP parameters were calculated. Clinical balance was measured using the Functional Reach Test (FRT) and Timed Up and Go Test (TUGT). The recovery stage, proprioception, and clonus of the ankles or lower extremities were also measured for physical impairment status. The COPx max-displacement in the medial-lateral side of the stroke patients was significantly longer than that of the normal group (p=.038). The COPy max-displacement in the anterior-posterior side of the stroke patients was significantly shorter than that of normal group (p<.001). Significant differences in the COPx and COPy displacement asymmetry index were found between the two groups (p<.01). The FRT was correlated with the COPx displacement (r=.552) and COPy displacement (r=.765). The TUGT was correlated with the COPy displacement (r=-.588) only. The recovery stage of the lower extremities was correlated with COPy displacement (r=.438). The results of the study indicate that the characteristic of COP displacement in hemiplegic feet in stance phase during gait is related to balance ability and recovery in stroke patients. COP parameters acquired by the mapping of foot pressure in stance phase during gait will provide additional useful clinical information. This information can be used by clinicians to assess objectively the pathologic gait with other diseases and to evaluate the therapeutic effects on gait in stroke patients.

Foot ulceration results in substantial morbidity in patients with peripheral neuropathy. The purpose of this study was to find the relationship of plantar foot pressures during walking to plantar ulceration in patients with Hansen's disease. The subjects were recuruited from two Welfare Clinic for Hansen's disease in Wonju and Uiwang city. Ten subjects (5 females, 5 males) with plantar ulceration and a mean age of 63 years were evaluated in this study. The mean duration of Hansen's disease in these subjects was 30 years. Plantar pressures were measured during self-selected comfortable walking speed by using MatScan system. Three subjects had plantar ulceration under the first metatarsal head. Five subjects had plantar ulceration under the second and third metatarsal head. Two subjects had plantar ulcers under the fifth metatarsal head. Eight of 10 subjects had plantar ulceration at highest pressure point that measured during walking. This result suggests that the abnormal high plantar pressure could be related factor to plantar ulceration in patients with Hansen's disease. Also the foot pressure measurement may be useful to evaluate the risk of plantar ulceration in patients with Hansen's disease.